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General NPI Number Information
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NPI Number | 1588527485
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Entity Type | Organization
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Legal Business Name | LIFTED STRANDS BY MORCIA LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 9367 TWO NOTCH RD STE 118
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City | COLUMBIA
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State | SC
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Zip | 29223-6442
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Country | US
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Telephone | 803-801-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 10120 TWO NOTCH RD STE 157
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City | COLUMBIA
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State | SC
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Zip | 29223-4395
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Country | US
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Telephone | 803-801-1003
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Fax |
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Authorized Official
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Title or Position | CEO/HAIRLOSS SPECIALIST
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Name | MORCIA BRADLEY
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Credential |
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Telephone | 907-350-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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